Organization
LIFECARE SOLUTIONS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM KEYS (CEO)
(480) 446-9010
Entity
Organization
Contact information
Practice address
170 N DAISY AVE, PASADENA, CA 91107
(626) 683-5401
(626) 683-5428
Mailing address
PO BOX 40700, MESA, AZ 85274-0700
(858) 565-1800
(858) 565-9223
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
PHY 50552
CA
332B00000X
Durable Medical Equipment & Medical Supplies
54914
CA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
PHY 50552
CA
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
54914
CA
3336H0001X
Home Infusion Therapy Pharmacy
PHY 50552
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134130842
—
CA
Enumeration date
08/10/2006
Last updated
07/25/2018
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